The director of the Office of Global Health of the Department of Health and Human Services of the United States recounted that the policies developed in New York, where mortality is higher in the poor areas that in those of better income, managed to improve life expectancy of the inhabitants, but clarified that despite the progress inequalities persist regardless of income or ethnicity of the people.

Furthermore, he considered essential the role of the local governments in order to reduce inequalities that in the large cities "they concentrate in a less visible modality."

Daulaine indicated that the coverage of health promoted by the government of Barak Obama will have an impact on the health of the population. "Health inequality exist and health cannot be separated between individual and community, and between community and nation", considered.