Over the weekend I learned about Dan Buettner’s Blue Zones. These are cities and parts of the world where, according to Dan, people have a much longer life expectancy. The five regions he identifies as Blue Zones are: Okinawa (Japan); Sardinia (Italy); Nicoya (Costa Rica); Icaria (Greece); and Loma Linda (California).
Many of you have probably heard of this finding from Malcolm Gladwell. I think he writes about it in Outliers. I had. But I didn’t know about Dan Buettner and his efforts to teach these “secrets” to other regions around the world.
I can’t speak for the efficacy of his consulting practice, but I think it’s interesting that some of the characteristics of these Blue Zones include a strong sense of family and community, as well as constant moderate physical activity. In other words, activity that is integral to normal life, such as lots of hills in a mountain town.
The links between urban form, walking and biking (instead of driving), and health outcomes are something that get a lot of air time. It is, of course, one of the reasons why denser cities are thought to be healthier cities. They encourage more active forms of mobility.
But what else could we be doing to make physical activity an inseparable part of urban life? In Rio de Janeiro, they often incorporate fitness facilities into their public spaces, whether it’s a parklet or the beach. That probably doesn’t qualify as inseparable, but it’s certainly a start.

We talk a lot about economic inequality these days. We worry, among other things, that our successful cities are becoming playgrounds for the rich and that housing is becoming increasingly unaffordable for the middle class.
Without negating the importance of things such as attainable housing, I’d like to offer up two, potentially new, perspectives on economic inequality.
The first is an essay by venture capitalist Paul Graham. In it, he rationally unpacks, as he always does, the phenomenon of economic inequality. One of his key points is the distinction between rent seeking degenerate economic inequality and the economic inequality caused by rapid value creation (i.e. Two Stanford students decide to create a new search engine called Google).
“If the rich people in a society got that way by taking wealth from the poor, then you have the degenerate case of economic inequality where the cause of poverty is the same as the cause of wealth. But instances of inequality don’t have to be instances of the degenerate case. If one woodworker makes 5 chairs and another makes none, the second woodworker will have less money, but not because anyone took anything from him.”
Of course, Paul Graham is thinking about this from the perspective of a venture capitalist that funds startups and helps entrepreneurs get rich. But what about the impacts to people who live in a city where the rich are far richer than the poor?
That brings me to the second perspective.
A recent study, published in The Journal of the American Medical Association and written about in the New York Times, has discovered a surprising relationship between income and life expectancy across the United States from 2001 to 2014.
What they found was that cities with high economic inequality – such as New York and San Francisco – actually have lower inequality when it comes to life expectancy.
Here is a chart from the New York Times:

And here is a chart from healthinequality.org:

If you’re rich, it doesn’t matter where you live. The life expectancy of a rich person in New York is roughly the same as a rich person in Detroit. (Though, as to be expected, women generally live longer than men.)
However, as income levels fall, so does life expectancy. But it falls more in a city like Detroit than it does in New York. In fact, rich cities such as New York and San Francisco are almost model cities in this regard. Why is that?
The biggest predictor appears to be health behaviors, such as smoking and obesity:
“The research seems to suggest that living in proximity to the preferences — and tax base — of wealthy neighbors may help improve well-being. New York is not just a city of rich and poor, but also one of walkable sidewalks, a trans-fat ban and one of the most aggressive anti-tobacco agendas of any place in the United States.”
So there you have it. Two, potentially new, ways to think about economic inequality.